{"id":43068,"date":"2018-09-20T08:53:21","date_gmt":"2018-09-20T07:53:21","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43068"},"modified":"2018-09-26T14:31:00","modified_gmt":"2018-09-26T13:31:00","slug":"public-health-must-not-slip-radar-brexit-negotiations","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/20\/public-health-must-not-slip-radar-brexit-negotiations\/","title":{"rendered":"Public health must not slip off the radar during Brexit negotiations"},"content":{"rendered":"<p><b>Grace Norman and Mark Weiss<\/b><\/p>\n<p><span style=\"font-weight: 400\">Earlier this year, when the then EU (Withdrawal) Bill was debated at length in the House of Lords, the Faculty of Public Health found itself leading a coalition of 64 health organisations and charities. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The coalition came together at record speed with the aim of seeking to protect the public\u2019s health as the UK leaves the EU.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We were delighted to see Lords from all sides of the House respond in support of our &#8220;do no harm&#8221; campaign.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In response, the government guaranteed that <\/span><a href=\"https:\/\/bit.ly\/2HaMvfz\"><span style=\"font-weight: 400\">\u201cour high standards of health improvement, health security, food safety and environmental protection will not be compromised in any way as we leave the EU,\u201d<\/span><\/a><span style=\"font-weight: 400\"> and that the UK\u2019s trade negotiations after April 2019 will not <\/span><span style=\"font-weight: 400\">\u201crollback [public health] standards.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ministers also set out five commitments to protect and improve the public\u2019s health as the UK leaves the EU:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/bit.ly\/2HaMvfz\"><span style=\"font-weight: 400\">An unequivocal guarantee that the UK\u2019s public health protections and standards will be the same or higher after Brexit<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Those <\/span><a href=\"https:\/\/goo.gl\/sYBZzM\"><span style=\"font-weight: 400\">protections and standards will not be &#8220;traded away&#8221; with the US or any other trade partner<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/goo.gl\/zLK4TP\"><span style=\"font-weight: 400\">This and future governments can be challenged in UK domestic courts after Brexit, should it fail to meet these commitments<\/span><\/a><span style=\"font-weight: 400\">. <\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/bit.ly\/2uuREWp\"><span style=\"font-weight: 400\">The UK\u2019s health partnerships with the EU will remain just as strong in the future<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"http:\/\/bit.ly\/2L0GLmh\"><span style=\"font-weight: 400\">The public\u2019s health will be at the &#8220;epicentre&#8221; of the UK\u2019s Brexit negotiations and future policy making<\/span><\/a><span style=\"font-weight: 400\">. <\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400\">These commitments are substantial and mean that the laws which currently protect the public\u2019s health, including those related to air quality, tobacco, alcohol, food, and medicines, are being maintained and translated directly into British law. They could also be strengthened in the future. As health and medical professionals and campaigners we need to recognise and welcome these commitments.<\/span><\/p>\n<p><span style=\"font-weight: 400\">At the same time, we also need to ensure that these commitments actually happen. In the past few weeks alone, health campaigners have raised fears that <\/span><a href=\"https:\/\/www.independent.co.uk\/news\/uk\/politics\/brexit-latest-medicine-stockpile-insulin-no-deal-nhs-diabetes-a8467516.html\"><span style=\"font-weight: 400\">diabetes patients could be &#8220;seriously disadvantaged&#8221; if supplies of insulin are affected by a no deal Brexit<\/span><\/a><span style=\"font-weight: 400\">. There is ongoing uncertainty about medicine supplies, worries about NHS staff shortages, and a big question mark over the future quality and safety of food sold in the UK.<\/span><\/p>\n<p><span style=\"font-weight: 400\">So, where do we go from here? \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The health and medical community needs to continue to raise its concerns in public and with the government to ensure that the public\u2019s health does not slip back off the radar and become &#8220;collateral damage&#8221; in the push for Brexit. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But alongside that, we also need to help ministers turn the very public commitments they have given into practical action on the ground.<\/span><\/p>\n<p><span style=\"font-weight: 400\">To make this as easy as possible, the Faculty of Public Health has <a href=\"https:\/\/www.fph.org.uk\/media\/1897\/fph-do-no-harm-guidance-final.pdf\">developed a guide to using the public health duty to &#8220;do no harm.&#8221;<\/a> It is aimed primarily at civil servants and health campaigners.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It addresses questions that those working on Brexit both inside and outside government might have. It is particularly pertinent for the UK\u2019s Brexit negotiators who will need to place a high level of human health protection at the heart of their negotiations.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Please read it, share it, and use it so that together we can seek to protect the public\u2019s health as we leave the EU.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/09\/grace_norman.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-43070\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/09\/grace_norman.jpg\" alt=\"\" width=\"128\" height=\"120\" \/><\/a>Grace Norman<\/strong> is a speciality registrar in Public Health, working with the Faculty of Public Health on our Brexit policy work. Prior to specialty training, Grace worked in the NHS and local authority public health. <\/span><a href=\"http:\/\/www.twitter.com\/graceenorman\"><span style=\"font-weight: 400\">Twitter @graceenorman\u00a0<\/span><\/a><\/em><\/p>\n<p><em><b>Competing interests:<\/b><span style=\"font-weight: 400\"> None declared.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/09\/mark_weiss.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-43071\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/09\/mark_weiss.png\" alt=\"\" width=\"127\" height=\"119\" \/><\/a>Mark Weiss<\/strong> has been the senior policy officer at the UK Faculty of Public Health for the past seven years, and leads FPH\u2019s policy work on Brexit. <\/span><a href=\"http:\/\/www.twitter.com\/fph\"><span style=\"font-weight: 400\">Twitter @FPH<\/span><\/a><\/em><\/p>\n<p><em><b>Competing interests<\/b><span style=\"font-weight: 400\">: None declared.<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Grace Norman and Mark Weiss Earlier this year, when the then EU (Withdrawal) Bill was debated at length in the House of Lords, the Faculty of Public Health found itself [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/20\/public-health-must-not-slip-radar-brexit-negotiations\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":43074,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14774,236],"tags":[],"class_list":["post-43068","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-brexit","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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